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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0513878
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COMPLIANCE INFO_PRE 2019
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Last modified
12/4/2024 4:05:58 PM
Creation date
4/22/2020 4:28:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0513878
PE
2220
FACILITY_ID
FA0003612
FACILITY_NAME
Yosemite Avenue Arco AmPm
STREET_NUMBER
1711
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
Ave
City
Manteca
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1711 E Yosemite Ave
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY UNIFIL., PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br /> <br />CERTIFICATION OF RETURN TO COMPLIANCE <br /> <br />For Hazardous Waste Generators <br />In the matter of the Violation cited on: 471 5 1 °3 <br />As Identified in the Inspection Report dated: cil570 3 <br />Conducted by: R4`1 LI <br /> <br />[EHD Inspector(s)] <br /> <br />I certify under penalty of law that: <br />Respondent has corrected the violations specified in the notice of <br />violation cited above. <br />I have personally examined any documentation attached to the <br />certification to establish that the violations have been corrected. <br />Based on my examination of the attached documentation and <br />inquiry of the individuals who prepared or obtained it, I believe that <br />the information is true, accurate, and complete. <br />I am authorized to file this certification on behalf of the Respondent. <br />I am aware that there are significant penalties for submitting false <br />information, including the possibility of fine and imprisonment for <br />knowing violations. <br />Albcc) #6 0 20 <br />1 7 1( 15. Leceiv)(1-e- Ave-- <br /> <br />C PcL_ but> <br /> <br />Facility Address EPA ID. Number <br />waiLekl JU\cL..v\o,_ <br />Name (Print or Type) Title <br />- -03 <br /> <br />Sieñature Date Signed <br />EHDCERT (rev 1/07/02)
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